NPI | 1548380405 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS DEMERCHANT Owner 630-462-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003669) |
Enumeration Date | 2007-04-01 |
Last Update Date | 2011-01-29 |